Adenovirus antigen test at Fairview Maple Grove Surgery Center

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ADENOVIRUS ASSAY W/OPTIC

Maple Grove, MN

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Pricing by billing methodology

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $26 is 16% above the median hospital's median price ($22), higher than 74% of the 1,391 hospitals reporting CPT 87809. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 87809 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 6 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Blue Cross Blue Shield medicaid fee schedule · outpatient	$16	$16	—	—	—	$16 – $16
2	Medicaid medicaid fee schedule · both	$22	$22	—	—	—	$22 – $22
3	Blue Cross Blue Shield federal fee schedule · both	$22	$22	—	—	—	$22 – $22
4	Medica accessability fee schedule · both	$22	$22	—	—	—	$22 – $22
5	Medica medicaid fee schedule · both	$22	$22	—	—	—	$22 – $22
6	Blue Cross Blue Shield commercial fee schedule · both	$22	$22	—	—	—	$22 – $22
7	Ucare mhcp fee schedule · both	$23	$23	—	—	—	$23 – $23
8	Medica ma non-snp fee schedule · both	$23	$23	$0	1%	—	$23 – $24
9	Medica ma snp fee schedule · both	$23	$23	$0	1%	—	$23 – $24
10	Medica prime solution fee schedule · both	$23	$23	$0	1%	—	$23 – $24
11	Medica vantage fee schedule · both	$23	$23	$0	1%	—	$23 – $24
12	Blue Cross Blue Shield medicaid fee schedule · both	$24	$24	—	—	—	$24 – $24
13	Blue Cross Blue Shield federal fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
14	Blue Cross Blue Shield commercial fee schedule · outpatient	$27	$27	—	—	—	$27 – $27
15	Cigna commercial fee schedule · both	$32	$32	$3	9%	—	$29 – $35
16	Ucare ifp with fairview fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
17	Medica bold fee schedule · both	$41	$41	$0	1%	—	$41 – $42
18	Ucare ifp fee schedule · both	$44	$44	—	—	—	$44 – $44
19	Ucare ifp with fairview fee schedule · both	$44	$44	—	—	—	$44 – $44
20	Medica choice without / elect fee schedule · both	$46	$46	$0	1%	—	$46 – $46
21	Medica city of st paul / essential uplan fee schedule · both	$46	$46	$0	1%	—	$46 – $46
22	Medica choice with fee schedule · both	$47	$47	$0	1%	—	$47 – $48
23	Ucare ifp fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
24	UnitedHealthcare commercial fee schedule · both	$57	$57	—	—	—	$57 – $57
25	Cigna commercial fee schedule · outpatient	$61	$61	$5	9%	—	$56 – $66

Last updated: May 18, 2026

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